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Medicaid Program – Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits
… adequate controls to prevent duplicate and excessive Medicaid payments to clinics and outpatient facilities … from December 1, 2008 through May 29, 2013. Background The Medicaid program reimburses outpatient services using the APG … surgery centers on September 1, 2009. Key Findings Medicaid made $32.1 million in actual and potential …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-ambulatory-patient-groups-payments-duplicate-claims-and-services-excessCUNY Bulletin No. CU-809
… for processing the CUNY 2021-2024 Retroactive Blue and White Collar general salary increases. Affected Employees: … impacted: Bargaining Unit Description S6 CS Forum Loc300 White Collar SF DC37-Local 2054 SJ DC-37 Local 375 T3 … be inserted into Job Data for the 2021-2024 Blue and White Collar General Salary Increases. The information below …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-809-city-university-new-york-cuny-2021-2024-retroactive-blueDiNapoli and Diaz Help Bronx Residents Claim $245 Million in Lost Money
… President Ruben Diaz Jr. today encouraged Bronx residents to search for forgotten money belonging to them at Bronx Borough Hall. More than 444,000 accounts valued at nearly $245 million are owed to Bronx residents. “There are about 245 million reasons why … President Ruben Diaz Jr today encouraged Bronx residents to search for forgotten money belonging to them at Bronx …
https://www.osc.ny.gov/press/releases/2015/03/dinapoli-and-diaz-help-bronx-residents-claim-245-million-lost-moneyOpinion 95-14
… computer for fire department); (ceremony to dedicate fire house and apparatus) INSURANCE LAW, §§9104, 9105: Unless … purposes and to pay for a ceremony to dedicate a new fire house and new fire apparatus. You ask whether a volunteer … purposes, and to pay for a ceremony to dedicate a new fire house and new fire apparatus. Sections 9104 and 9105 of the …
https://www.osc.ny.gov/legal-opinions/opinion-95-14Mayfield Central School District – Medicaid Reimbursements (2019M-149)
… did not document 948 scheduled services totaling $69,324 in the special education system (system) as provided. Had … Ensure providers document all service encounters in the system. District officials generally agreed with our …
https://www.osc.ny.gov/local-government/audits/school-district/2019/10/25/mayfield-central-school-district-medicaid-reimbursements-2019m-149DiNapoli Finds Medicaid Billing Errors of Nearly $1 Billion
… today found an additional $17 million in overpayments. “Medicaid is a critically important program, but its payment … claims involving providers who were not certified to treat Medicaid patients. This not only costs taxpayers, but also … shortcomings with its billing system.” The New York State Medicaid program provides a wide range of medical services to …
https://www.osc.ny.gov/press/releases/2022/04/dinapoli-finds-medicaid-billing-errors-nearly-1-billionOversight of School Fire Safety Compliance
… including: electrical hazards such as overloaded power strips and extension cords; missing or outdated fire …
https://www.osc.ny.gov/state-agencies/audits/2016/08/24/oversight-school-fire-safety-complianceManagement of General School Funds (Follow-Up)
… 2010, found that New York City Department of Education (DoE) did not provide John F. Kennedy Educational Campus staff … prom, and athletic events. We made nine recommendations to DoE designed to strengthen management control over GSF accounts. Key Finding DoE and John F. Kennedy officials have made progress in …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/management-general-school-funds-followEffectiveness of the Information Technology Transformation (Follow-Up)
… in planning the execution of the Transformation, with little to no evidence that basic planning steps were …
https://www.osc.ny.gov/state-agencies/audits/2017/12/13/effectiveness-information-technology-transformation-followState Agencies Bulletin No. 1535
… Purpose To inform agencies of OSC’s annual record update process and … entry instructions for entering SRA and TDA deductions to ensure compliance with contribution limits. Background … To inform agencies of OSCs annual record update process and …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1535-supplemental-retirement-annuity-sra-and-tax-deferred-annuity-tdaState Agencies Bulletin No. 1448
… Purpose To inform agencies of OSC’s annual record update process and provide data entry … Pursuant to IRS Regulations, Section 403(b): The regular annual contribution amount will remain at $18,000 for 2016. … To inform agencies of OSCs annual record update process and provide data entry …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1448-supplemental-retirement-annuity-sra-and-tax-deferred-annuity-tdaState Agencies Bulletin No. 1621
… for entering SRA and TDA deductions to ensure compliance with contribution limits. Affected CUNY Employees Employees … contribution limit of $27,500 in 2018. CUNY participants with deduction codes 400, 403, & 413 are not eligible to … must update the General Deduction page in accordance with the instructions below. Note: Agencies must not begin …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1621-supplemental-retirement-annuity-sra-and-tax-deferred-annuity-tdaUnited HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… Purpose To determine whether Hudson Valley Bone and Joint Surgeons, … Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made by United HealthCare … To determine whether Hudson Valley Bone and Joint Surgeons …
https://www.osc.ny.gov/state-agencies/audits/2016/09/08/united-healthcare-overpayments-services-provided-hudson-valley-bone-and-joint-surgeons-llpState Agencies Bulletin No. 1695.1
… This bulletin supersedes Payroll Bulletin 1695 Purpose To inform agencies of OSC’s … row that is based on the first day of the pay period for payroll checks issued on 1/3/2019 and 1/09/2019. These … Questions regarding this bulletin may be directed to the Payroll Retirement mailbox. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/16951-supplemental-retirement-annuity-sra-and-tax-deferred-annuity-tdaPost Retirement Reporting
… (BOCES) are required by law to: Report when a NYSLRS retiree exceeds the earnings limit. Annually report all … submitting your monthly report, which would indicate if a retiree exceeded the earnings limit and provides the … Who Exceed the Earnings Limit Before hiring a public retiree , you should be aware of the laws governing how much …
https://www.osc.ny.gov/retirement/employers/post-retirement-reportingLansing Central School District – Procurement (2021M-213)
… Determine whether Lansing Central School District District officials used a competitive process to …
https://www.osc.ny.gov/local-government/audits/school-district/2022/05/27/lansing-central-school-district-procurement-2021m-213Opinion 91-42
… fire department funds and village funds) GENERAL MUNICIPAL LAW, §119-n; MUNICIPAL HOME RULE LAW, §10[1][i]; VILLAGE LAW, §4-408: A village and its fire department may not agree …
https://www.osc.ny.gov/legal-opinions/opinion-91-42State Agencies Bulletin No. 1596
… reimbursements require withholding and Form W-2 reporting on any excess amounts paid. “Excess amount” is the portion … taxes; however, these “Taxable Expense” items will not have taxes withheld in 2017, as the expense will not be … in early 2018 for any “Taxable Expense” that did not have taxes withheld in 2017. Employees who paid the maximum …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1596-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1674
… reimbursements require withholding and Form W-2 reporting on any excess amounts paid. “Excess amount” is the portion … taxes; however, these “Taxable Expense” items will not have taxes withheld in 2018, as the expense will not be … in early 2019 for any “Taxable Expense” that did not have taxes withheld in 2018. Employees who paid the maximum …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1674-year-end-procedure-taxable-employee-expense-reimbursementsMedicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… Purpose To identify Medicaid overpayments made to medical providers for services rendered to recipients … To identify Medicaid overpayments made to medical providers for services rendered to recipients …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claims